Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Durable Medical Equipment)
Hearing Aids Hearing aids are generally not covered for most contracts.
11-10
Minnesota Health Care Programs hearing aids
Blue Cross uses the MHCP Hearing Aid Volume Purchase
Contract (which contains the MHCP Hearing Aid Contract) as the
base Medical Assistance Fee Schedule. Blue Cross will follow the
non-covered code list contained in the MHCP Hearing Aid
Contract and the DHS supply limits.
Products affected
The following MHCP products are affected:
Blue Advantage (PMAP/GAMC, MSC & MSC+)
MinnesotaCare
SecureBlue
MHCP Hearing Aid Volume Purchase Contract
The hearing aid service provider must dispense the hearing aid
according to the hearing aid exam, selection and prescription of the
otolaryngologist and audiologist.
For accurate claims processing, the provider will need to submit an
attachment that includes the manufacturers’ specifications.
Providers should utilize the information contained in the current
MHCP contracts, including manufacturer, model name and model
number. This information will need to be included in the
attachment when the claim for reimbursement is submitted. Blue
Cross will verify that the hearing aid billed is a covered benefit for
the subscriber and will apply the current MHCP Hearing Aid
Volume Purchase Contract pricing for reimbursement. Items not
included in this pricing will defer to the DHS Medical Assistance
standard fee schedule or the Blue Cross standard fee schedule, as
applicable.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (08/15/2012)